Life after stroke – what may affect recovery
Johnson, Lucy M.
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This projects attempts to gain an understanding of the role that perceptions and attitudes to ageing play in the recovery process after stroke. Firstly, a systematic review establishes the current opinion within the literature, and how perceived quality of life and depression interplay during the stroke recovery process. Whilst a relationship is apparent in the literature, the direction of causality remained unclear, in addition to many contributing factors possibly adding the interaction. The reader is introduced to the wider context of stroke, looking at the consequences of stroke and the adjustment process. Whilst older adults add a complexity to formulation and clinical work, they are also the predominant age group who experience stroke. Therefore, the role of the ageing process is introduced, in light of the current literature around stroke and recovery. A journal article then examines the role of attitudes towards ageing and perceptions of quality of life, in older adults after stroke. The relationship between attitudes and perceptions is explored, in relation to depressive symptoms in the sample recruited; using a questionnaire based cross sectional design. The questionnaires used were the Attitudes to Ageing Questionnaire (AAQ), the World Health Organisation Quality of Life, version for Older adults (WHOQOL‐Old) assessment and the New Multidimensional Depression Scale (NMDS). A correlational analysis revealed that positive attitudes toward ageing were associated with greater levels of perceived quality of life, and that both were negatively associated with depression. The findings are discussed in the context of ageing literature and incorporating aspects of loss, in an effort to understand how perceptions and attitudes may be protective factors in the journey of recovery from stroke.